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Coronavirus (COVID-19)

Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut

Educational Objective
To understand the incidence of COVID-19 during universal screening of pregnant women

1 Credit CME

JAMA

Published Online: May 26, 2020

Research Letter

Article Information and Disclosures

Katherine H. Campbell, MD, MPH¹;

Jean M. Tornatore, MD²;

Kirsten E. Lawrence, MD¹;

et al

Jessica L. Illuzzi, MD¹;

L. Scott Sussman, MD³;

Heather S. Lipkind, MD¹;

Christian M. Pettker, MD¹

Author Affiliations

¹Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut
²Department of Obstetrics and Gynecology, Bridgeport Hospital, Bridgeport, Connecticut
³Clinical Redesign, Yale New Haven Health, New Haven, Connecticut

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Change in the Incidence of Stillbirth and Preterm Delivery During the COVID-19 Pandemic

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Comment & Response

Vertical Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 From the Mother to the Infant

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Association of SARS-CoV-2 Test Status and Pregnancy Outcomes

Mia Ahlberg, RNM, PhD; Martin Neovius, PhD; Sissel Saltvedt, MD, PhD; Jonas Söderling, PhD; Karin Pettersson, MD, PhD; Clara Brandkvist, MD; Olof Stephansson, MD, PhD

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Developing an approach to care for pregnancy and childbirth during the coronavirus disease 2019 (COVID-19) crisis is a priority to (1) provide safe care to pregnant women and newborns and (2) protect health care workers from infection. A study conducted in New York City reported a 13.5% prevalence of asymptomatic infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in women presenting for childbirth.¹ On March 30, 2020, an initially asymptomatic woman admitted to the Yale New Haven Health system developed cough and fever soon after childbirth; testing confirmed SARS-CoV-2 infection. This event prompted the development of a SARS-CoV-2 screening and testing program of patients presenting for childbirth; we report the prevalence detected in the first weeks of the program.

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Article Information

Corresponding Author: Katherine H. Campbell, MD, MPH, Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 330 Cedar St, FMB 302, New Haven, CT 06520-8063 (katherine.campbell@yale.edu).

Accepted for Publication: May 11, 2020.

Published Online: May 26, 2020. doi:10.1001/jama.2020.8904

Author Contributions: Dr Campbell had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Campbell, Illuzzi, Sussman, Lipkind, Pettker.

Acquisition, analysis, or interpretation of data: Campbell, Tornatore, Lawrence, Illuzzi, Lipkind, Pettker.

Drafting of the manuscript: Campbell, Illuzzi, Lipkind, Pettker.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Illuzzi, Lipkind, Pettker.

Administrative, technical, or material support: Tornatore, Pettker.

Supervision: Lawrence, Lipkind, Pettker.

Conflict of Interest Disclosures: None reported.

References

Sutton D , Fuchs K , D’Alton M , Goffman D . Universal screening for SARS-CoV-2 in women admitted for delivery. N Engl J Med. Published online April 13, 2020. doi:10.1056/NEJMc2009316 PubMed Google Scholar

Connecticut coronavirus map and case count. New York Times. Published April 16, 2020 (updated daily). Accessed April 16, 2020. https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html

Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut

Neonatal Early-Onset Infection With SARS-CoV-2 in 33 Newborns Born to Mothers With COVID-19 in Wuhan, China

Possible Vertical Transmission of SARS-CoV-2 From an Infected Mother to Her Newborn

Second-Trimester Miscarriage in a Pregnant Woman With COVID-19

Change in the Incidence of Stillbirth and Preterm Delivery During the COVID-19 Pandemic

Vertical Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 From the Mother to the Infant

Association of SARS-CoV-2 Test Status and Pregnancy Outcomes

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